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Old 06-08-2012
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Stethoscope Coarctation of the aorta murmur

what u think should be the location o this murmur ?

i think in the right 2nd intercostal space but kLP says it is left scapula ??

any comments or cram? ;-)
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Old 06-08-2012
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i think murmur in COA is due to blood flowing in the collaterals which may be more concentrated around the scapula........?????
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Old 06-09-2012
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Preductal or postductal?
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Old 06-10-2012
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A continuous and/or late systolic murmur is best heard posteriorly over the thoracic spine. Collateral arterial murmurs are crescendo-decrescendo in shape and delayed in onset and termination because of their origins in vessels some distance from the heart. The collateral murmurs are present bilaterally.
If the patient has associated bicuspid aortic valve, an aortic ejection sound, a short midsystolic murmur, and/or early diastolic murmur of aortic regurgitation may be audible
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